We report the outcome of a nonoperative treatment for symptomatic OCL. Causes & Triggers INTRODUCTION. Osteochondritis dessicans. The initial pain may resolve following an ankle sprain or fracture but then returns; Pain is usually worsened by activity; Swelling, instability, and locking of the ankle joint; Osteochondral lesions happen more frequently in the younger athletic population Diagnosing Osteochondral Lesion of the Talus The adjacent subchondral bone presents an injury as well. This condition is also known as osteochondritis dissecans (OCD) of the talus or a talar osteochondral lesion (OCL). An osteochondral lesion of the talus (OLT) is an area of abnormal, damaged cartilage and bone on the top of the talus bone (the lower bone of the ankle joint). Talus Osteochondral Lesion Definition. This most common symptom of osteochondritis dissecans might be triggered by physical activity — walking up stairs, climbing a hill or playing sports. Patient symptoms with osteochondral lesions may include joint catching or clicking (which may represent a loose body), swelling, chronic pain and ankle weakness. These are two other names for this condition affecting both the bottom of the ankle bone (talus) and overlying cartilage. The talus is the 3rd most common site (after the knee and elbow) of osteochondral lesions. incidence 69% of ankle fractures; 70% of ankle sprains; 10% are bilateral Background and purpose - The frequency of progression of osteoarthritis and persistence of symptoms in untreated osteochondral lesion of the talus (OCL) is not well known. What is the osteochondral lesion? The following areas are most often affected by the osteochondral lesion: condyle of the femur (often seen), head of the humerus, talus and elbow capitellum. Osteochondral lesions of the talus (OLT) are those that affect the chondral and subchondral areas of the talus. The affected bone and its covering of cartilage may stay in place and cause no symptoms. [] Although majority may be associated with trauma, some may develop insidiously. This will create a cup-like lesion in the central to posterior aspect of the talus with more bone involved than lateral lesions. [] This is a broad terminology that encompasses a variety of disorders including osteochondritis dissecans, osteochondral fractures, and osteochondral defects. Osteochondral Lesion Symptoms. Symptoms. The proportion of the patient population treated succes … The aim of this study was to summarize all eligible studies to compare the effectiveness of treatment strategies for osteochondral defects (OCD) of the talus. An osteochondral lesion is an injury or small fracture of the cartilage surface of the talus. When blood supply to the area at the end of your bone is cut off, a condition known as osteochondritis dissecans may develop, also called talus osteochondral lesions. The most common sites are the posteromedial (53%) ( Fig. The osteochondral lesion can be defined as an area with damaged cartilage at the level of a joint. The presence of an osteochondral lesion may initially go undetected and may manifest many months after the initial ankle injury. Patients and methods - This study included 142 patients w … Ther We have dealt with the actual ligament injury and its repair, treatment of peroneal tendon injuries and also conservative care of ankle injuries. Plantarflexion-inversion forces cause medial lesions. Electronic databases from January 1966 to December 2006 were systematically screened. Osteochondral fractures. 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